To evaluate the clinical effects of individuated surgical procedures for managing false hernia sac following laparoscopic direct inguinal hernia repair.

From January 2014 to January 2016, 106 patients with a clinical diagnosis of direct inguinal hernia were enrolled. According to the random number table, the patients divided into the fixed treatment group (53 cases) and the routine treatment group (53 cases) randomly. Operation time, postoperative pain score on the 1st and 3th day, postoperative hospitalization time, hospitalization expenses, postoperative complications (seroma, discomfort and foreign body feeling, swelling of scrotum, wound infection, chronic groin pain) and hernia recurrence rate within 2 years were observed.

The fixed treatment group compared with the routine treatment group, the operative time, postoperative pain score on the 1st and 3rd day, postoperative hospitalization time, hospitalization expenses, postoperative complications (swelling of scrotum, wound infection, chronic groin pain) had no significantly different between the two groups (P>0.05). The incidence of postoperative seroma and discomfort and foreign body feeling in the fixed treatment group was significantly lower than in the routine treatment group (P<0.05). No hernia recurrence was found in all two groups.

The primary repair of direct inguinal hernia defects with individuated surgical procedures during laparoscopic direct inguinal hernia repair is safe, economical and efficient for prevention of postoperative seroma, and discomfort/foreign body feeling, which could be applied in the clinic.